Title: Pain and depression in older people: Comorbidity and patterns of help seeking
Authors: Bonnewyn, A. ×
Katona, C.
Bruffaerts, Ronny
Haro, J. M.
de Graaf, R.
Alonso, J.
Demyttenaere, Koen #
Issue Date: Oct-2009
Publisher: Elsevier
Series Title: Journal of Affective Disorders vol:117 issue:3 pages:193-196
Abstract: BACKGROUND: Chronic pain and mood disorders are common in older people. Their relationship however remains unclear. Only a few studies have investigated the role of pain in mental health service use and received psychopharmacological treatment. METHODS: Cross-sectional study of the 65+ subsample from the European Study on the Epidemiology of Mental Disorders (ESEMeD). 4401 non-institutionalized individuals were interviewed using the third version of the Composite International Diagnostic Interview (CIDI-3.0). RESULTS: Painful physical symptoms (PPS) were more likely in people with a 12-month major depressive episode (MDE) than in those without (OR=2.0). Help seeking for emotional problems was uncommon, but PPS were a significant predictor of help-seeking (OR=1.7). Respondents with MDE more frequently used benzodiazepines than antidepressants. The presence of PPS in respondents without depression resulted in a significant increase in the use of psychotropic medication. CONCLUSIONS: PPS were strongly and independently associated with major depressive disorder. Their presence had an influence on help seeking behavior and use of psychotropic medication. LIMITATIONS: The cross-sectional nature of this study does not allow determination of direction of causality.
ISSN: 0165-0327
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Research Group Psychiatry
× corresponding author
# (joint) last author

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